Lec.-2.-Phil.-Healthcare-Delivery-System.pptx

PHILIPPINE HEALTH CARE DELIVERY SYSTEM The Philippines The Philippines 7,100 islands 1,700 LGUs 1 unitary/national government State of Health of the Filipino People  General Health Status of t...

PHILIPPINE HEALTH CARE DELIVERY SYSTEM The Philippines The Philippines 7,100 islands 1,700 LGUs 1 unitary/national government State of Health of the Filipino People  General Health Status of the Filipinos (as of 2017) Life Expectancy: 71.53 yrs Female: 74.17 ; Male: 70.22 Highest: Central Luzon Southern Tagalog Lowest: ARMM & Eastern Visayas Health life expectancy – 61.7 Crude Birth Rate (a measure of one characteristic of the natural growth or increase of a population) 104,256,076 (2017) Sex ratio: 109:100 (male) 23.70/1000  The birth rate for Philippines in 2023 was 19.579 births per 1000 people, a 1.01% decline from 2022. The birth rate for Philippines in 2022 was 19.778 births per 1000 people, a 1% decline from 2021. The birth rate for Philippines in 2021 was 19.978 births per 1000 people, a 0.99% decline from 2020.  Crude Death Rate ( a measure of one mortality from all causes which may result in a decrease of population) 6.32 deaths/1,000 population (2023 est.) Death Rates: 6.10/1000 (highest) infancy & early childhood, decline by age 10 and sharp rise by age 40 Male death rate: 5.6/1000 Female death rate - 3.9/1000 Infant Mortality Rate (measures the risk of dying during the 1st year of life.) Philippines high compared to Thailand, Singapore, Brunei, Japan Varies with socioeconomic & demographic factors Rural - 40.2 ; Urban - 340.9 MetroManila - lowest; Eastern Visayas – highest 21.40/1000  The infant mortality rate for Philippines in 2023 was 17.544 deaths per 1000 live births, a 2.36% decline from 2022. The infant mortality rate for Philippines in 2022 was 17.968 deaths per 1000 live births, a 2.31% decline from 2021. Neonatal Death Rate measures the risk of dying the 1st month of life. Its serves as an index of the effects of prenatal care and obstetrical management of the newborn. No. of Deaths under 28 days of age registered in a given calendar year  In 2022, neonatal mortality rate for Philippines was 14.2 deaths per 1,000 live births. Neonatal mortality rate of Philippines fell gradually from 25.1 deaths per 1,000 live births in 1973 to 14.2 deaths per 1,000 live births in 2022. Maternal Mortality Rate Death of a woman during pregnancy, at childbirth or in the period after child birth An indicator of nation’s health 78 women die per 100,000 live births The maternal mortality ratio in the Philippines has improved from 129 in 2000 to 78 in 2020. Lifetime risk of dying from maternal cause is 1:100 Net Migration rate (2017) the difference between the number of persons entering and leaving a country during the year per 1,000 persons The net migration rate for Philippines in 2023 was - 0.593 per 1000 population, a 1.33% decline from 2022. Physician’s Density No. of medical doctors/1000 population In 2022, there was one doctor or physician for approximately every 26 thousand people in the Philippines, Hospital Density No of hospital bed/1000 people As of April 2020, there were about 13.5 hospital beds per 10,000 population within the National Capital Region of the Philippines. Prevalence of Obesity This entry gives the percent of a country's population considered to be obese 36.6% of Filipinos 20 years old and above are either overweight or obese based on WHO BMI cutoff points (FNRI, 2019). PHILIPINNE HEALTH CARE DELIVERY SYSTEM Phil. Health Care Delivery System A complex set of organization interacting to provide an array of health services, formulated to serve a s a guide in the systematic and organized flow of health-services. Composed of 2 Sectors Public sector – consist of national and local government agencies providing health services largely financed through a tax, based budgeting system. DOH is mandated as the lead agency in health (national level).PGH Local government agencies – provincial hospital, RHU, district hospitals Private sector - largely market-oriented and where health care is paid through user fees at the point of service  Levels of Health Care Facilities Primary level of Health Care Facilities It is usually the first contact between the community members and the other levels of health facility. It is the health care provided by center physicians, public health nurses, rural health workers, traditional healers and others at the barangay health station and rural health units. Levels of Health Care Facilities Secondary level of Health Care Facilities Care the smaller, non-departmentalized hospitals including emergency and regional hospitals. The care is given by physician with basic health training and capable of performing minor surgery and simple laboratory examination Levels of Health Care Facilities Tertiary level of Health Care Facilities Are the highly technological and sophisticated services offered by medical centers and large hospitals. These are for clients afflicted with disease which seriously threaten their health and which require highly technical and specialized knowledge facilities and personnel to treat effectively.  Department of Health Vision :The Department Of Health(DOH) envisions Filipinos are among the healthiest people in Southeast Asia by 2022, Asia by 2040. Mission : Guarantee equitable, sustainable, and quality health for all Filipinos, especially the poor and shall lead the guest for excellence in health. By making services available. By arousing Community awareness. By mobilizing resources. By promoting the means to better health.  The Department of Health(DOH) shall lead the country in the development of a People-centered, Resilient and Equitable health system. The Department of Health(DOH) shall embody at all times integrity, excellence, and compassion in carrying out its tasks and responsibilities. Location San Lazaro Compound, Tayuman, Sta. Cruz, Manila Philippines 1003 Department of Health Profile (Thrust for 2020) The strategy is focused on the following strategic thrusts – enable Filipinos to be healthy, protect Filipinos from health risks, care for Filipinos' health and wellness, and strengthen health institutions and the workforce. GOALS 1. Improve the general health status of the population: Reduce infant mortality rate Reduce child mortality rate Reduce total fertility rate Increase life expectancy and quality of life years GOALS 2.Reduce morbidity, mortality, disability and complications from the following diseases and disorders: Diarrheas and other food and water borne diseases like typhoid, cholera and hepatitis A Pneumonia and acute respiratory infections Tuberculosis  Dengue Intestinal parasitism Sexually transmitted diseases, HIV/AIDS, and other reproductive tract infections Hepatitis B Dental caries and other periodontal diseases Rheumatic heart disease and rheumatic fever Coronary heart disease, hypertension and dyslipidemia  Stroke Cancer Diabetes mellitus Asthma and chronic obstructive pulmonary diseases Nephritis and other kidney diseases Mental disorders Protein-energy malnutrition Iron deficiency anemia Obesity Accidents, trauma, and injuries 3. Eliminate the following diseases as public health problems. Schistosomiasis, malaria, filariasis, Rabies, Leprosy Vaccine preventable diseases: measles, tetanus, diphtheria and pertussis Vitamin A deficiency and iron deficiency diseases 4. Eradicate poliomyelitis 5. Promote Healthy life style Promote healthy diet and nutrition Promote physical activity and fitness Promote personal hygiene Promote mental health &less stressful life Prevent smoking & substance abuse Prevent violent & risk-taking behavior 6. Promote the Health and Nutrition of families & special population Neonatal & infant health Children’s health Adolescent and youth health Adult’s health Women’s health Health of older people Health of indigenous people Health of overseas Filipino workers Health of the disabled persons Health of the rural and urban poor Strategies Increasing investments for Primary Health Care Development of National Standards and objectives for health Assurance of the Quality of Health Care Support to the Local Health System Development Support for frontline Health Workers DOH Offices The DOH is composed of about: 17 central offices 16 Centers for Health Development located in various regions 70 hospitals and 4 attached agencies. DOH Hospitals Provides hospital-based care; specialized or general services, some conduct research on clinical priorities and training hospitals for medical specialization. DOH BUDGET  SOURCE: General Appropriations Act 2024 The 2024 General Appropriations Act (GAA) has earmarked approximately P241. 1 billion for the DOH, significantly rising from the initially proposed P199. 1 billion in the National Expenditure Program (NEP), highlighting an increase of P42 billion.  Department of Health Goal : Health Sector Reform Primary Strategies to Achieve Health Goals Increasing investment for primary health care. Development of national standards and health objectives for health. Assurance of the health care. Support for local health system development. Support for frontline health workers.  Department of Health National Objectives for Health 2005-2010 Provides the road map for stakeholders in health and health- related sector to intensify and harmonize their efforts to attain its time honored vision of health for all Filipinos and continue its mission to ensure quality of health care to improve the quality of life of all Filipinos esp the poor. Health Care Delivery System Reorganization of DOH in 1987(EO 119) Devolution of health services in 1992 to LGUs (Local Government Code of 1991 (RA 7160) Streamlining of DOH’s organization and functions (EO 102) Aims of Devolution To increase the resource base for primary care by shifting as many resources as possible from central to peripheral locations Expand the “decision making space” of middle and lower level managers in order to increase the responsiveness of sub national authorities to local health needs and situations. 1993 health services were devolved from the DOH to the local government units Each province city, and municipality has a local health board (mandated to propose annual budgetary allocation for the operation and maintenance of health facilities and services Provincial level ; it is composed of the ; governor, (chair) provincial health officer. (vice chair), Chairman of the Committee on Health of the Sangguniang Panlalawigan, DOH representative and NGO representative City and Municipal level; It is composed of Major (chair) ; municipal health officer(vice chair) ; chair on the committee on health of the Sanguniang bayan , DOH representative and NGO representative  Devolution of Health Care Services (RA 7160) Responsibility for the delivery of basic services and facilities of the National Government has been transferred to Local Government. Devolution of powers, functions and responsibilities to the local government both provincial and municipal. E.O. 503 – transfer of personnel, assets, liabilities and records of the national government agencies be devolved to the LGU’s.